Organization Active NPI

Mr Yerramadha MD

  • Internal Medicine Physician
  • Webster, TX
National Provider Identifier
1487124327
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MR YERRAMADHA MD
Practice address
560 Blossom St Ste C
Webster, TX 77598-4237
Phone
(832) 905-6141
NPI assigned
Dec 4, 2018
Last updated
Mar 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Muralidhar R Yerramadha, MDNPI 1609184027
Title
Physician
Phone
(832) 221-2321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

560 Blossom St Ste C
Webster, TX 77598-4237

Mailing address

1514 Frost Creek LN
Friendswood, TX 77546-4682
Phone (224) 238-9801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190410002195 TX Part B Supplier - Clinic/Group Practice 5698016194 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1322 Space Park Dr
Ste 100
Houston, TX 77058
Phone (224) 238-9801

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1487124327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 FROST CREEK LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464682",
            "telephone_number": "224-238-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 BLOSSOM ST STE C",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984237",
            "telephone_number": "832-905-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR YERRAMADHA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "YERRAMADHA",
        "authorized_official_first_name": "MURALIDHAR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "832-221-2321",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.